6 On Site Reviews T s 1
_ r mud U-PERCOLATION IP$f
Location Address a}Lot No.
COMMONWEALTH OF MASSACHUSETTS
.a•
,Massachusetts
tail;IlliES;niellatiallift; m ram I I I I
® -
'ressw..ar of 1 ppcoyyon tail rtMrat M performed M both the
primary area AND
ate Passed ❑ ate Faded ❑
Perfumed EY
wrmessea Er
Comments:
Sixso.e.e..mn:...wH. .
1I,
m Address or Lot
tole Number
cation(identify on site plan)
Land Use
Vegetation
Landform
n on Landscape(sketch on the bad()
On-Site Review IC
Time C/ t
SIOPe(%) I � Surface Stones
Distances from:
at Water Body I
side Wet Area
feet I Drinking Water Well I
feet I Drainage Way
feet I Property Line
feet Other
feet
feet
Hole - A -H
therm
e peons)
DEEP OBSERVATION HOLE LOG*
'YetIYULI OF TWO HOLES REWIRED AT EVERY PROPOSED DISPOSAL AREA Otllm
(SwWpe Stones,Boulders,CwsislaRy.%Gravel)
Sol Tenure
(USDA)
AtAj ' (
%y s
saga
Sol
wed IMeW tgedolkl I
Depth b SBMOUt
Webb the
Branded SeaaaW High Grand W
b '
DEEP OBSERVATION HOLE LOG'
9DRMIDMR OF IWO HOLES REWIRED AT EVERY PROPOSED DISPOSAL AREA Other
Sol SDA Sol Car SWliae,Sbnes,SaMas. , Gra
SDA IAu ..
WeepingtanPf Face
PamM1Uarial or '
./
r
FORM 12-PERCOLATION TEST
Location Address or Lot No
COMMONWEALTH OF MASSACHUSETTS
.Massachusetts
Percolation Test'
oae: --- -- Time: _.
Observation Hole
Depth of Perc
Start Pre-soak
End Pre-soak
Tune at 12'
Time at 9'
Time at 6'
Tune(9'-6'1
Rate Min./Inch
•Minimum of 1 percolation teit must b performed in both the primary area AND
reserve area.
Site Passed ❑ Site FeBed ❑ '
Performed By:
Witnessed By:
Comments:
err acme reale WINS
•
On-Site Review
on Address or Lot#
sole Number I I Date
I Time 1
Weather
nation(identify on site plan)
Sal
Mottling
Land Use
I Slope(%) I I Surface Stones
Vegetation
4-
Landform
in on Landscape(sketch on the back)
Distances from:
an Water Body
feet
Drinking Water Well
feet
Property Line
feet
sible Wet Area
feet
Drainage Way
feet
Other
feet
DEEP OBSERVATION HOLE LOG*
Tole#: 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
h from
:Ouches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Sal
Mottling
Other
(Structure,Stones,Boulders,Consstency,%Gavel)
4-
(hw .
nt Matrial(geologic) I I Depth to Bedrock
Depth to groundwater Standing Water in the Hole
I Weepng from PH Face I
Estim ted Seasonal High Ground Water
DEEP OBSERVATION HOLE LOG'
Hole#: 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
h from
a(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Mansell)
Soil
Mottling
Other
tSWCture,Stones,Boulders,Consistency,%Gravel)
4-
(hw .
nt Matiial(geologic) I
Depth to groundwater Standing Water in the Hole
Estim ted Seasonal High Ground Water
Depth to Bedrock I
Weeping from Pit Face
On-Site Review
on Address or Lot#
tole Number I i i 2.1 Date / 1 I Time I
Weather ^ �%r>*ti�-;, y Sl-
cation(identify on site plan) L
Land Use
I Slope(%) I I Surface Stones
Vegetation
-1211
Landfoml
ur
n on Landscape( ketch on the back)
Distances from:
in Water Body
feet
Drinking Water Well
feet
Property Line
feet
Bible Wet Area
feet
Drainage Way
feet
Other
feet
DEEP OBSERVATION HOLE LOG*
sole#: I *MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
h from
(Indies)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munson)
Sod
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
-1211
Other
(Structure,Stones,Boulders,Consistency.%Gravel)
ur
� .
-- sur, 5IA__
/Y r/ _,
1
V Maiad(geologic) I I Depth to Bedrock I
Depth to groundwater Standing Water in the Hole
I Weeping from Pit Face I
Estimated Seasonal High Ground Water
nt Medal(geologic) I
DEEP OBSERVATION HOLE LOG*
Hole#: I _a-- *MINIMUM OF TWO HOLES REQURED AT EVERY PROPOSED DISPOSAL AREA
pi from
)(Indies)
Sod Horizon
Soil Texture
(USDA)
Son Color
(Munset)
Son
Mod*
Other
(Structure,Stones,Boulders,Consistency.%Gravel)
Y
I0�
11
;y
;i
L
1
✓
/✓nn (
nt Medal(geologic) I
I Depth to Bedrock
I
Depth to groundwater Standing Water in the Hole
I
Weeping from Pit Face I
Estim ted Seasonal High Ground Water
nn Addressor Lot# I - -a---14t til-z ---el
lole Number I (s/ 1 Date
`/l`/970 I Time -I / #V „IA-- I Weather 1 ii.)' "'7,/ '1-5-1—
cation(idenfify on site plan)
9
Land Use
4 vini I Slo k Qi-✓�t I Surface Stones
l' 1
Vegetation
qJp-t—d K�p�!
Landform
dy,%'t rflS - '
non Landscape( ketch on the back)
Distances from:
:n Water Body
a-s--0 -f feet
Drinking Water Well
a -0 e -1 feet
Property Line
feet
Bible Wet Area
a-p-D7 'f feet
Drainage Way
ar,xA-rJ 1 feet
Other
feet
DEEP OBSERVATION HOLE LOG*
sole#: I b — I *MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
h from
L(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil
Mottling
Other
(Structure.Stones,Balers,Consistency,%Gravel)
`7
,�—
n
5 /p-n^-N.
(
Y
ri 'S
lb o
J
5 II I S �
..-1,w"4
M
iT, ✓ S� ,k,,,
nt Manial(geobgw)
I
I Depth to Bedrock I
Depth to groundwater Standing Water in the Hole
tiflN{! l0 '+ I Weeping from Pd Face I 41//t
Estimated Seasonal High Ground Water
r7/I
n DEEP OBSERVATION HOLE LOG*
Hole#: �- d-- 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
An from
e(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Cob(
(Munsell)
Son
Mottling
Other
(Structure,Stones.Boulders,Consistency,%Graver)
dr
% LG,r
1
lo` +, /'
Nrni
hint Matruh(geongic)
I
I Depth to Bedrock
Depth to Standing Water in the Hole
/✓/44 - I Weeping from Pit Face I A//64
groundwater
Estimated Seasonal Hqh Ground Water
(f'T
0n-Site Review
on Address or Lot# I 11 - -I ,Ar -,'
sole Number 1 I Date
51/ h f Co I Time I /'3 Sr I Weather I arwEy -LS"'
ation(idenfify on site plan)
l
Land Use
I Slope(%) I I Surface Stones
Vegetation
A
1/
CI
«
Landform
b "�71
i rS LI: ,',Ih
) O 71 tJ/y
non Landscape(sketch on the back)
Distances from:
in Water Body
feet
Drinking Water Well
feet
Properly Line
feet
Bible Wet Area
feet
Drainage Way
feet
Other
feet
DEEP OBSERVATION HOLE LOG*
tole#: l ci` I 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
h from
(Inches)
Sal Horizon
Soil Texture
(USDA)
Soil Cola
(Munsell)
Soil
Molding
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
I I}—
��.
— I�/
A
1/
CI
«
fs ,2—
n
SLI/J�
es
b "�71
i rS LI: ,',Ih
) O 71 tJ/y
A01/1
A
nt Metal(geologic) I I Depth to Bedrock I
Depth to groundwater Standing Water in the Hold
I Weeping from Pit Face I
Estimated Seasonal High Ground Water
Estimated Seasonal High Ground Water
DEEP OBSERVATION HOLE LOG*
Hole N: I ) - 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
th from
?Birches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munseti)
Sal
Molting
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
I✓
yr7
5t-
•
MJ
to 3f)----
L
1'1
�, Y
A01/1
A
int Mahial(geologic)
I I Depth to Bedrock I
Depth to groundwater Standing Water in the Hole
I Weeping from Pit Face I
Estimated Seasonal High Ground Water
FORM IL-PERCOLATION'En
Location Address or Lot No. - . -
COMMONWEALTH OF MASSACHUSETTS
,Massachusetts
Percolation Test'
Dam: ._. Time:
Observation Hole f
Depth of Parc
Stan Pre-soak
End Pre-soek
Time at 12' it :40
Time at 9*
Time at 6' /C) '
9 :
Time 1 .6'1 ICs
Rate Min./lnch 7
•Minimum of 1 percolation teat must be performed in both the primary area AND
reserve area.
5rte Passed ❑ Site Faded ❑
Performed By:
ylmmessed By:
Comments:
OCIAFIROVID/0•14.LIMY
6n-c5ite Review
on Addressor Lot# ] `1 '-
Tole Number Date
G ) I Time I I (2 z 9 = .- - I Weather
ration(identify on site plan)
Soil Color
(Mensal')
Land Use
i Slope(%) I ] Surface Stones
Vegetation
V
1.
Landform
-.
_. r
n on Landscape(sketch on the back) I
Distances from:
n Water Body
feet
Drinking Water Well
feet
/i Properly Line �-
feet
;ible Wet Area
feet
Drainage Way
feet
Other
feet
DEEP OBSERVATION HOLE LOG*
lobe#: 7-1— 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Irom
(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Mensal')
Soil
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gavel
ID I
V
1.
DO
I
-.
_. r
-
It Mattel(geologic) I I Depth to Bedrock I
Depth to groundwater Standing Water in the Hole
/✓M2°1^ I Weeping from RI Face Iry-, --,
Estimated Seasonal High Ground Water
„„---t;w1
DEEP OBSERVATION HOLE LOG'
sole#: % , - � 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
h from
(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
ID I
V
1.
-.
_. r
-
it Matti(geologic) I I Depth to Bedrock I
Depth to gr undwater Standing Water in the Hole
I Weeping from Pit Face I
Estimated Seasonal High Ground Water
FORM 12-PEHCOIAUON Test
Location Address or Lot No.
COMMONWEALTH OF MASSACHUSETTS
,Massachusetts
Percolation Test'
Date: ._.__. _._
lime:
Observation Hole F
Depth of Pere
Start Pte-soak
End Pre-soak
Time at 12'
Time at r
Time at 6'
Time 19'-61
Rate Min./Inch
• Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed ❑ Site Failed ❑
Performed fly:
Wdressed fly:
Comments:
•
On-site Review
>n Address or Lot# I
lole Number I I Date
1 Time I I Weather I
cafion(identify on site plan)
Sal Color
(Munsell)
Land Use
I Slope(%) 1 I Surface Stones
✓egetafion
n
Landform
it
n on Landscape(sketch on the back)
Distances from:
n Water Body
feet
Drinking Water Well
feet
Property Line
feet
;ible Wet Area
feet
Drainage Way
feet
Other
feet
DEEP OBSERVATION HOLE LOG*
low#: /- I `MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
i from
(Inches)
Soil Horizon
Soil Texture
(USDA)
Sal Color
(Munsell)
Soil
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
n
it
(Mattel(geologic) I 1 Depth to Bedrock I
Depth to groundwater Standing Water in the Hole
r I Weeping from Pit Face I -•
Estimated Seasonal High Ground Water
)(c y ' —
DEEP OBSERVATION HOLE LOG*
tole#: *MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
r from
(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsetl)
Soil
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
/
)
V Mabel(geologic) I I
Depth to Bedrock
I
Depth to groundwater. Standing Water in the Hole
I
Weeping from Pit Face I
Estimated Seasonal High Ground Water
IkV
--
FORM 12-PERCOLATION TEST
Location Address or Lot No
COMMONWEALTH OF MASSACHUSETTS
Massachusens
Percolation Test'
Date: __.. __ Time:
Observation Hole/
Depth of Pere
Start Pre-soak
End Pre-soak
Time at 12'
Time at 9'
Time at 6'
Time(9"-61
Rate MIn.Anch
•Mienintume f I percolation test must be performed in both the primary area AND
5rte Passed ❑ Site Failed ❑
Performed By:
Witnessed By:
Comments: _
•
0n-site 73eview
)n Address or LOl# I I . ' „ .
�S
ole Number I I Date
li- - I Time I I Weather I
cation(identify on site plan)
Soil Color
(Mansell)
Land Use
I Slope(%) I I Surface Stones
/egetafion
09,
Landform
)(l •,., u r
ion Landscape(sketch on the back)
Distances from:
n Water Body
feet
Drinking Water Well
feet
Property Line
feet
Bible Wet Area
feet
Drainage Way
feet
Other
feet
DEEP OBSERVATION HOLE LOG*
tole#: 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
I from
Indies)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Mansell)
Soil
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
09,
Ag .
)(l •,., u r
it Madal(geologic) I I Depth to Bedrock
Depth to groundwater Standing Water in the Hole
I Weeping from Pit Face I
Estimated SAat.onal High Ground Water
Estim ted Seasonal High Ground Water
DEEP OBSERVATION HOLE LOG'
idle#: Q - T— *MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
i from
(Inches)
Sal Horizon
Soil Texture
(USDA)
Soil Color
(Mansell)
Soft
Mottling
Other
(Sttcture,Stones,Boulders,Consistency,%Gravel)
09,
)(l •,., u r
!I w
it MaMel(geologic) I I Depth to Bedrock I
Depth to groundwater Standing Water in the Hole
1 Weeping from PA Face I
Estim ted Seasonal High Ground Water
FORM f2-PERCOLATION TEST
Location Address or Lot No
COMMONWEALTH OF MASSACHUSETTS
,Massachusetts
Percolation Test'
Data: Time: ..
Observation Hole a
Depth of Pere
Stan Pre-soak
End Pre-soak
Time at 12-
Time at 9'
Time at 6'
Time 19'-61
Rate Min./Inch
•Minimum of 1 percolation teat must be performed in both the primary area AND
reserve area.
Site Passed ❑ Site Failed ❑ •
Performed By: - •
Witnessed By:
Comments:
On alto Review
n Address or Lot# I 5 ""lt4,-^1 ) S
ore Number I I Date
S I f Gy I Time I I ,I i 3) ,"- Iti I Weather I �"�,0/VA4,-n+-( GS
cation(identify on site plan)
Land Use
I Slope(%) I I Surface Stones
legetation
4 C 11 /R22
Landform
� 's4 ��
i on Landscape(sketch on the hack)
Distances from:
n Water Body
feet
Drinking Water Well
feet
Property Line
feet
,ible Wet Area
feet
Drainage Way
feet
Other
feet
DEEP OBSERVATION HOLE LOG*
tole k: ` MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
I from
Inches)
Soil Horizon
Soil Texture
(USDA)
Sol Color
(Munsell)
Soil
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
- paL '
4 C 11 /R22
r
� 's4 ��
t Maid Geologic) I I Depth to Bedrock I
Depth to groundwater. Standing Water in the Hole
1 Weeping from Pi Face I Er.
Estimated Seasonal High Ground Water
7r
DEEP OBSERVATION HOLE LOG'
note N: -i `MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
s from
(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
- paL '
4 C 11 /R22
r
� 's4 ��
it Matrial(geobgic) I I Depth to Bedrock I
Depth to groundwater Standing Water in the Hole
I Weeping from Pit Face
Estimated Seasonal High Ground Water
FORM 13-PERCOLATION TEST
Location Address or Lot No.
COMMONWEALTH OF MASSACHUSETTS
. Massachusetts
Percolation Test'
Date: __. _._ Time: ._. _
Observation Hole f
Depth of Pere
Start Pra-soak
End Pre-soak
Time at 12'
Time at 9'
Time at 6'
Tune 19'-61
Rate Min./Inch
•Miiru er of 1 percolation test must be performed in both the primary area AND
Site Passed ❑ Site Failed ❑ .
Performed By:
Witnessed er
Comments:
•
On-Site Review
m Address or Lot# I 7• - �
ole Number Date
I Time I Weather
cation(identify on site plan)
.1
Land Use
I Slope(%)
I Surface Stones I
tegetation
Landform
I on Landscape(sketch on the back) I
Distances from:
i Water Body
feet
Drinking Water Well
feet
Property Line
feet
ible Wet Area
feet
Drainage Way
feet
Other
feel
DEEP OBSERVATION HOLE LOG'
Ole#: 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
from
(Inches)
Soil Horizon
soil Texture
(USDA)
&A Color
(MUnsell)
Sal
Mottling
Other
(Structure,Stones,Boulders.Consistency,%Gravel)
f Whist(geologic) I Depth to Bedrock
Depth to groundwater Standing Water in the Hole
_
I Weeping from Pit Face I
Estim ted Seasonal High Ground Water
DEEP OBSERVATION HOLE LOG*
Iola#: 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
1 from
(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
it Matial(geologic) I I Depth to Bedrock I
Depth togr undwater Standing Water in the Hole
I Weeping from Ph Face I
Estimated Seasonal High Ground Water
FORM 12-PERCOLATION TEST
Location Address or Lm No
COMMONWEALTH OF MASSACHUSETTS
.Massachusens
Percolation Test'
Time:
Observation Hole
Depth of Pere
Start Pre-soak
End Pre-soak •
Time at 12'
Time at 9'
Time at 6'
Time 19'-61
Rate Min.nnch
•Minimum of 1 percolation test must be performed in both the primary area AND
reserve Brea.
Site Passed ❑ Site Felled ❑
Performed 6y: --_
Witnessed 9y:
Comments: _
re inane emu Ila7M
-Site Review
in Address or Lot# I (q 4
ole Number I Date
_
I Time _
Weather ,..
;akin(identify on site plan)
Soil Color
(Munsell)
_and Use
I Slope(%) I I Surface Stones
/egetation
/
I i c'
Landform
I on Landscape(sketch on the back)
Distances from:
t Water Body
feet
Drinking Water Well
feet
Property Line
feet
ible Wet Area
feet
Drainage Way
feet
Other
feet
pole#:
DEEP OBSERVATION HOLE LOG*
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
'from
(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil
Molding
Other
(Stmcture,Stones,Boulders,Consstency.%Gravel)
pp
Hl .
/
I i c'
nt MatJial(q
it Mabel(geotactic) I I Depth to Bedrock I
Depth to groundwater Standing Water in the Hole
I Weeping from Pit Face I
Estimated Season I High Ground Water
groundwater
Estimated Seasonal High Ground Water
DEEP OBSERVATION HOLE LOG*
-tole#: 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
h from
(Inches)
Soil Horizon
Soil Texture
(USDA)
Sail Color
(Munsell)
Soil
Mottling
Other
(Structure,Stones,Boulders.Consistency.%Gravel)
pp
Hl .
Al . _�
I/
nt MatJial(q
obgic) I
I Depth to Bedrock
Depth to Standing Water in the Hole
/i ' !. I Weeping from Pit Face I
groundwater
Estimated Seasonal High Ground Water